| NPI | 1699241638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 202578) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 74447) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-04-11 |